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Shared decision making in community mental health services: Supporting user needs for information and participation
Karlstad University, Karlstad, Sweden.
Umeå University, Umeå, Sweden.
University of Dalarna, Falun, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.ORCID iD: 0000-0003-4438-6673
2016 (English)Conference paper, Abstract (Refereed)
Abstract [en]

Objectives: Shared decision making (SDM) is a central component in a recovery-oriented practice. While decision aids are essential for implementing SDM, they are still lacking within psychiatric services. The aim of this study was to develop a user-generated, web-based decision aid to support shared decision making in Swedish mental health services.

Methods: A decision aid was developed and tested in a preliminary study using a community-based participatory design. This digital tool was then included in a multifaceted intervention study which included staff training and an implementation study that included process and impact evaluation.

Results: Models created for SDM in somatic care, fit well for mental health services. However, the results also suggest adaptations since decisions related to mental illness are often complex and involve multiple life domains. Issues related to social context and individual recovery point to a focus on establishing cooperation as well as follow-up over time.

Conclusions: The study contributes to an understanding of decisional and information needs, as well as relationship-based and cognitive factors important to consider in adapting SDM in the community mental health system. The decision aid which resulted can strengthen service users’ experience of self-efficacy and control as well as giving staff access to user knowledge and preferences.

Place, publisher, year, edition, pages
2016.
Keyword [en]
shared decision making, recovery, community mental health
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-33710OAI: oai:DiVA.org:hh-33710DiVA: diva2:1088497
Conference
18th meeting of the Section of Epidemiology and Social Psychiatry of the European Psychiatric Association (EPA) – Social Psychiatry and Epidemiology in a changing world (EPAGOT), Gothenburg, Sweden, November 30-December 3, 2016
Available from: 2017-04-12 Created: 2017-04-12 Last updated: 2017-05-04Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf